Individual provider Active NPI

Dana Beth Schonberg, MD

  • Family Medicine Physician
  • Clifton, NJ
National Provider Identifier
1639498249
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10593000 Issued in NJ
Practice address
1030 Clifton Ave
Clifton, NJ 07013-3522
Phone
(973) 436-1840
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10593000 NJ Primary

Addresses

Primary practice location

1030 Clifton Ave
Clifton, NJ 07013-3522

Mailing address

3450 Wayne Ave
Apt 18P
Bronx, NY 10467-2514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100928000449 NY Practitioner - Family Practice 0143346155 Reassigns benefits to 2 organizations
I20191114000303 NJ Practitioner - Family Practice 0143346155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10593000NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Sep 23, 2019 Accepting new patients
Summit Medical Group PA CurrentSince Sep 23, 2019 Accepting new patients
Planned Parenthood of Greater New York Inc CurrentSince Aug 4, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Jul 20, 2015 Accepting new patients
Summit Medical Group, Inc Family Medicine Past Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

360 E 193rd St
Bronx, NY 10458
Phone (718) 405-4067

111 E 210th St
Bronx, NY 10467

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

26 Bleecker St
Prince, NY 10012
Phone (212) 274-7226

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

Interoperability endpoints

  • Direct secure messaging: dana.schonberg.1@2983.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1639498249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WAYNE AVE",
            "address_2": "APT 18P",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133522",
            "telephone_number": "973-436-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONBERG",
        "first_name": "DANA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10593000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.